Tyereece Johnson · Prevention of Future Deaths report

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Issued 23 May 2019•Inner West London

Published report and response evidence

This report’s concerns and statements found in recipients’ published responses. Statements are included even where no link to an individual concern is recorded. A link shows an evidence connection; it does not assign responsibility.

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Concerns
1

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
4

Described in responses

Recipients and published responses

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised1

  1. Failure to pass relevant rider age information to tactical decision-makers
    Part of recurring concern: Failure of police operational communications to reliably share safety-critical information

Stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.4

  1. Metropolitan Police Service

    Ensure Pan London courses and refresher training include information and intelligence-gathering instruction.

  2. Metropolitan Police Service

    Review the pod’s roles and responsibilities to maximise information and intelligence opportunities by 31 October 2019.

  3. Metropolitan Police Service

    Maintain a dedicated six-role police pursuits and follows pod supporting risk assessment and information gathering.

  4. Metropolitan Police Service

    Consider whether to introduce a mandatory checklist of information sources at the start of pursuits.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.1

  1. Metropolitan Police Service

    The dedicated pursuits pod and its resources are considered sufficient to address the concern, although its practices will be reviewed further.

    Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to pass relevant rider age information to tactical decision-makers

Wider context from the report

“The first CAD messages gave an approximate age of the riders of the moped (aged 15 to 16). However this was not passed on to the team in the Police Control Centre who were formulating tactics to bring the moped to a stop. All witnesses from the police control room and police helicopter agreed that the age of the riders was a relevant factor to take into account when formulating a risk assessment in order to inform their tactical decision making. (However I did not find that it caused or contributed to the death in this instance.) ”

Is this part of a recurring concern?

Yes — Failure of police operational communications to reliably share safety-critical information.

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Ensure Pan London courses and refresher training include information and intelligence-gathering instruction.

Verbatim wording from the response

“The MPS considers that the changes implemented since 2016 are sufficient, however as a result of this Regulation 28 Report to Prevent Future Deaths, MetCC led by Superintendent Gary Warby in charge of Service Delivery, will take the following action;”

Source location

2019-0166-Response-by-Metropolitan-Police
Page 2 · response
Published 29 July 2019

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Review the pod’s roles and responsibilities to maximise information and intelligence opportunities by 31 October 2019.

Verbatim wording from the response

“The MPS considers that the changes implemented since 2016 are sufficient, however as a result of this Regulation 28 Report to Prevent Future Deaths, MetCC led by Superintendent Gary Warby in charge of Service Delivery, will take the following action;”

Source location

2019-0166-Response-by-Metropolitan-Police
Page 2 · response
Published 29 July 2019

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Maintain a dedicated six-role police pursuits and follows pod supporting risk assessment and information gathering.

Verbatim wording from the response

“Since 2016 a number of changes have been made within Met Command and Control (MetCC). There is now a dedicated pod for police pursuits and follows as occurred here, which consists of the following six roles;”

Source location

2019-0166-Response-by-Metropolitan-Police
Page 1 · response
Published 29 July 2019

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Consider whether to introduce a mandatory checklist of information sources at the start of pursuits.

Verbatim wording from the response

“The MPS considers that the changes implemented since 2016 are sufficient, however as a result of this Regulation 28 Report to Prevent Future Deaths, MetCC led by Superintendent Gary Warby in charge of Service Delivery, will take the following action;”

Source location

2019-0166-Response-by-Metropolitan-Police
Page 2 · response
Published 29 July 2019

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Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

The dedicated pursuits pod and its resources are considered sufficient to address the concern, although its practices will be reviewed further.

Verbatim wording from the response

“In the last couple of years MetCC has created a dedicated police pursuits pod. This contains the necessary resources to support the Pan London Supervisor, who has overall control of pursuits/follows, with the information and intelligence required so risk assess the incident using the National Decision Model. MetCC believes this is sufficient to address the matter of concern raised by the Coroner, however they seek to improve their practices further and will conduct a review of the roles and responsibilities contained within the pod to ensure they maximise all available information and intelligence opportunities. This review will be completed within the next four months.”

Source location

2019-0166-Response-by-Metropolitan-Police
Page 2 · response
Published 29 July 2019

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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026